Document Detail


The effect of needle-insertion depth on the irrigant flow in the root canal: evaluation using an unsteady computational fluid dynamics model.
MedLine Citation:
PMID:  20850673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The aim of this study was to evaluate the effect of needle-insertion depth on the irrigant flow inside a prepared root canal during final irrigation with a syringe and two different needle types using a Computational Fluid Dynamics (CFD) model.
METHODS: A validated CFD model was used to simulate irrigant flow from either a side-vented or an open-ended flat 30-G needle positioned inside a prepared root canal (45 .06) at 1, 2, 3, 4, or 5 mm short of the working length (WL). Velocity, pressure, and shear stress in the root canal were evaluated.
RESULTS: The flow pattern in the apical part of the root canal was similar among different needle positions. Major differences were observed between the two needle types. The side-vented needle achieved irrigant replacement to the WL only at the 1-mm position, whereas the open-ended flat needle was able to achieve complete replacement even when positioned at 2 mm short of the WL. The maximum shear stress decreased as needles moved away from the WL. The flat needle led to higher mean pressure at the apical foramen. Both needles showed a similar gradual decrease in apical pressure as the distance from the WL increased.
CONCLUSIONS: Needle-insertion depth was found to affect the extent of irrigant replacement, the shear stress on the canal wall, and the pressure at the apical foramen for both needle types.
Authors:
Christos Boutsioukis; Theodor Lambrianidis; Bram Verhaagen; Michel Versluis; Eleftherios Kastrinakis; Paul R Wesselink; Lucas W M van der Sluis
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-17
Journal Detail:
Title:  Journal of endodontics     Volume:  36     ISSN:  1878-3554     ISO Abbreviation:  J Endod     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2010-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7511484     Medline TA:  J Endod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1664-8     Citation Subset:  D    
Copyright Information:
Copyright © 2010 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Endodontology, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece. chb@dent.auth.gr
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MeSH Terms
Descriptor/Qualifier:
Dental Stress Analysis
Equipment Design
Hydrodynamics
Hydrostatic Pressure
Models, Theoretical*
Needles*
Root Canal Irrigants / administration & dosage*
Shear Strength
Sodium Hypochlorite / administration & dosage
Chemical
Reg. No./Substance:
0/Root Canal Irrigants; 7681-52-9/Sodium Hypochlorite

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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